Physician
Salil P Marfatia MD PC
Salil P Marfatia MD PC was paid $186K by Medicaid between Sep 2018 and Oct 2024, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 59% of everything it billed.
33Billing provider infoSALIL P MARFATIA MD PC
REGO PARK, NY 11374
REGO PARK, NY 11374
33aNPI1629066949assigned 10/11/2005
33bProvider typeGastroenterology Physician
28Total paid$186K
24GClaims1,922
24DCodes billed10
24AFirst – last monthSep 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#137 of 656
Median peer was paid$12K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13 | $1K | |
| 2019 | 77 | $5K | |
| 2020 | 273 | $20K | |
| 2021 | 601 | $57K | |
| 2022 | 396 | $45K | |
| 2023 | 329 | $30K | |
| 2024incomplete | 233 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 59% | 798 | 798 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 341 | 329 | $22K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.6% | 120 | 119 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.4% | 111 | 111 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 216 | 214 | $9K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.0% | 25 | 25 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.9% | 200 | 188 | $7K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.8% | 24 | 24 | $7K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.4% | 30 | 28 | $3K |
| 99072 | <1% | 57 | 48 | $450.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMARFATIA, SALIL (OWNER)